MARK WILLIAM RIEDERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

MARK WILLIAM

Last Name

RIEDERMAN

Suffix

Business Name

MARK WILLIAM RIEDERMAN MD

Original Issue Date

03/12/1982

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023